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A Multimodal Quality Improvement Curriculum for Pediatric GME Program Directors.
Asha S Payne1, Padma Pavuluri, May-Britt Sten
1The George Washington University, Washington, DC Children's National Hospital, Washington, DC University of North Carolina Health Care System, Chapel Hill, NC University of Florida, Gainesville, FL Maine Medical Center, Portland, ME.
Summary
Pediatric program directors improved their quality improvement (QI) skills through a fellowship-focused QI project. This training enhanced their confidence and ability to guide fellows in future QI initiatives.
Area of Science:
- Medical Education
- Healthcare Quality Improvement
Background:
- The Accreditation Council for Graduate Medical Education identified knowledge gaps in clinical learning environments.
- Limited institutional mentorship hinders resident and fellow engagement in quality improvement (QI) initiatives.
Purpose of the Study:
- To enhance proficiency in QI among pediatric graduate medical education program directors (PDs).
- To assess the impact of a fellowship-focused QI project and curriculum on PDs' QI knowledge and confidence.
Main Methods:
- An 18-month QI curriculum including online education, workshops, didactics, and project presentations.
- Individual QI coaching and a fellowship-focused QI project.
- Assessment of QI knowledge across 9 domains and participant confidence.
Main Results:
- Participants reported a minimum 20% increase in self-perceived confidence and skills across most QI domains.
- PDs felt better prepared to support fellows' future QI projects.
- Fellowship-focused QI projects and individual coaching were crucial for engagement.
Conclusions:
- A structured QI curriculum and mentorship program can effectively improve PDs' QI proficiency.
- This initiative addresses the need for enhanced QI training in graduate medical education.
- The program demonstrated success in preparing PDs to foster a culture of quality improvement.
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